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SOUTHEAST ENDODONTICS, PC
NPI 1902019722
Dentist - Endodontics in Charleston, SC

Active since May 08, 2007
10 FARMFIELD AVE, CHARLESTON, SC 29407(843) 766-0112(843) 766-0884 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Southeast Endodontics, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHEAST ENDODONTICS, PC (NPI 1902019722) is a healthcare organization registered as an endodontics in Charleston, South Carolina and active in the NPI registry since May 2007. The organization lists Walter R. Long, Owner, as its authorized official.

NPPES Registry Identity

NPI1902019722
Entity TypeOrganization
Primary Taxonomy1223E0200X
Legal Business NameSOUTHEAST ENDODONTICS, PC
Location Address10 FARMFIELD AVECharleston, SC 29407-7756
Mailing Address10 E Farmfield AvenueCharleston, SC 29407 · (843) 766-0112 · Fax (843) 766-0884
Phone(843) 766-0112
Fax(843) 766-0884
Organization SubpartNo
Authorized OfficialWalter R. LongOwner · (843) 766-0112
Enumeration DateMay 8, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1902019722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
License✔ Licensed in SC · 3707
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
10 FARMFIELD AVE, Charleston, SC 29407
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KASSIS LONG FAMILY DENTISTRY
Dentist (General Practice)
10 FARMFIELD AVE, SUITE D
CHARLESTON, SC 29407
Charleston County (843) 556-7444
DR. JULIE KASSIS LONG D.M.D.
Dentist (General Practice)
10 FARMFIELD AVE, SUITE D
CHARLESTON, SC 29407
Charleston County (843) 556-7444

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southeast Endodontics, PC's NPI number?

The NPI number for Southeast Endodontics, PC is 1902019722. It was assigned to this organization in the NPPES registry on May 8, 2007.

Where is Southeast Endodontics, PC located?

Southeast Endodontics, PC is located at 10 Farmfield Ave, Charleston, SC 29407. The listed phone number is (843) 766-0112.

What is Southeast Endodontics, PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

What insurance does Southeast Endodontics, PC accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina and UnitedHealthcare list Southeast Endodontics, PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Southeast Endodontics, PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.